Background: Bleeding during or after a cesarean section (C-section) is a concern that healthcare professionals monitor closely. The present study was conducted to assess the role of tranexamic acid in controlling bleeding in cesarean section. Materials & Methods: 60 women undergoing cesarean section between 37 and 40 weekswere divided into two groups. Group I received 1 gm IV of tranexamic acid before 15 min of cesarean and group II didn’t get tranexamic acid. Blood loss in both groups was compared. Results: The age group based on gestation age was 37 weeks in 8 in group I and 11 in group II, 38 weeks in 12 in group I and 7 in group II, 39 weeks in 7 in group I and 8 in group II and 40 weeks in 3 in group I and 4 in group II. The mean blood loss from placental delivery till the end of LSCS was 110 ml in group I and 130 ml in group II and from end of LSCS to 2 hours postpartum was 70 ml in group I and 120 ml in group II. The difference was significant (P< 0.05). Blood loss <500 ml was seen in 21 in group I and 13 in group II and >500 ml in 9 in group I and 17 in group II. The difference was significant (P< 0.05). Conclusion: Tranexamic acid was found to be effective in controlling bleeding in cesarean section. Hence, it can be utilized in such cases.